Treating Trauma: Relationship-Based Psychotherapy with Children, Adolescents, and Young Adults PDF
Preview Treating Trauma: Relationship-Based Psychotherapy with Children, Adolescents, and Young Adults
Treating Trauma Treating Trauma Relationship-Based Psychotherapy with Children, Adolescents, and Young Adults Edited by Toni V. Heineman, DMH, June M. Clausen, PhD, and Saralyn C. Ruff, PhD JASONARONSON Lanham•Boulder •NewYork•Toronto•Plymouth,UK PublishedbyJasonAronson AwhollyownedsubsidiaryofTheRowman&LittlefieldPublishingGroup,Inc. 4501ForbesBoulevard,Suite200,Lanham,Maryland20706 www.rowman.com 10ThornburyRoad,PlymouthPL67PP,UnitedKingdom Copyright©2013byJasonAronson Chapter10poemsreprintedbypermissionofCynthiaFranco. Allrightsreserved.Nopartofthisbookmaybereproducedinanyformorbyany electronicormechanicalmeans,includinginformationstorageandretrievalsystems, withoutwrittenpermissionfromthepublisher,exceptbyareviewerwhomayquote passagesinareview. BritishLibraryCataloguinginPublicationInformationAvailable LibraryofCongressCataloging-in-PublicationData Treatingtrauma:relationship-basedpsychotherapywithchildren,adolescents,andyoungadults/ editedbyToniV.Heineman,JuneM.Clausen,andSaralynC.Ruff. pagescm Includesbibliographicalreferencesandindex. ISBN978-0-7657-0982-0(cloth:alk.paper)—ISBN978-0-7657-0983-7(electronic) 1.Psychictraumainchildren—Treatment.2.Psychictraumainadolescence—Treatment.3.Foster children—Mentalhealth.4.Childpsychotherapy.5.Adolescentpsychotherapy.I.Heineman,Toni Vaughn.II.Clausen,JuneM.,1962–III.Ruff,SaralynC.,1979– RJ506.P66T7452013 618.92'8914—dc23 2013021523 TMThepaperusedinthispublicationmeetstheminimumrequirementsofAmerican NationalStandardforInformationSciencesPermanenceofPaperforPrintedLibrary Materials,ANSI/NISOZ39.48-1992. PrintedintheUnitedStatesofAmerica Thisbookisdedicatedtotheclinicianswhovolunteertheirtime outofaconvictionthathealthyrelationshipscananddo maketheworldabetterplace. Contents Acknowledgments ix Introduction:TheNeedforaRelationshipsFrameworkinEffective TraumaTreatmentforChildrenandYouth xiii I:HoldingtheHope 1 1 Molly 5 2 Juan 21 3 Lilly 35 4 JoiningaConsultationGroup 51 II:TheHeartandSoulofPsychotherapy 59 5 Lucy 63 6 Michael 77 7 Isaiah 91 8 AnExperienceinaLong-TermConsultationGroup 115 III:SharedMemories 131 9 Clemee 135 10 Zina 151 11 Ben 165 12 HowConsultationGroupsChangeTherapy(andTherapists) 179 vii viii Contents Conclusion:EightElementsofRelationship-BasedTherapy 187 Index 209 AbouttheEditorsandtheContributors 217 Acknowledgments AgroupofcliniciansinSanFrancisco,CA,createdAHomeWithinthirteen years ago to address a gap in effective mental health treatment for children and youth in foster care. By 2006, organized groups of clinicians providing treatmentwithinthe“Onechild,onetherapist,foraslongasittakes”model were working in eight states across the country and some of them came together and produced a book, Building A Home Within: Meeting the Emo- tionalNeedsofChildrenandYouthinFosterCare,aboutthismodelofcare (Heineman & Ehrensaft, 2006). Now, seven years later, clinicians in fifty- four communities in twenty-four states are delivering open-ended, relation- ship-basedtherapytocurrentandformerfosteryouth. This book presents the rationale for this approach to treatment, provides several case illustrations written by A Home Within clinicians across the country, and outlines the eight essential elements that form the framework underlying effective intervention with these vulnerable children and youth. We have been honored to work with the contributors to this volume, whose care in honestly portraying the joys and challenges has been astounding. They have each taken extraordinary care to use pseudonyms, change all identifyinginformation,andparaphraseconversations.Inaddition,theyhave electedtopresentthisasagroupeffort,ratherthantakeindividualcreditfor theirchapters,asafurtherprotectionfortheirclients’privacy. This book, though organized and edited by the executive director, re- searchdirector,andtrainingdrectorof AHomeWithin,with chapter contri- butions from twelve A Home Within clinicians, is the work of many in the organization. We are particularly grateful to staff members Rene Fay, Jade Hoffman,andEdithDelPezoVargasfortheirsupport.WendyVonWeider- hold and Molly Saeger, co-directors of our local chapters provided thought- fulclinical insightsandDr.DianeEhrensaft, foundingandcontinuing board ix
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